After feeling a sudden chest pain and SOB while lifting weig…

After feeling a sudden chest pain and SOB while lifting weights, a 37-year-old man drove himself to the ER.  After  starting oxygen therapy on the patient, the respiratory therapist performed a physical exam.  Pertinent findings included a hyperresonant percussion note on the right side and tracheal shift to the left.  Based on these findings, what is the patient’s most likely problem?